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非酒精性脂肪性肝病中的红细胞功能障碍:分子机制的标志物与介质

Red Blood Cell Dysfunction in Non-Alcoholic Fatty Liver Disease: Marker and Mediator of Molecular Mechanisms.

作者信息

Papadopoulos Charalampos, Tentes Ioannis, Anagnostopoulos Konstantinos

机构信息

Laboratory of Biochemistry, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

Maedica (Bucur). 2020 Dec;15(4):513-516. doi: 10.26574/maedica.2020.15.4.513.

Abstract

Despite efforts to unravel the pathogenetic mechanisms of non-alcoholic fatty liver disease (NAFLD), there is still a need for approved treatments and biomarkers. Interestingly, red blood cells present alterations in their characteristics during NAFLD. The phosphatidylcholine to phosphatidylethanolamine ratio, fatty acid profile, red blood cell count and red cell distribution width reflect molecular changes that are taking place in the liver. In addition, glycosylated hemoglobin, chemokine binding and release, and phosphatidylserine exposure actively participate in NAFLD pathogenesis. In this review, we describe the neglected red blood cell dysfunction in NAFLD, with the aim to unveil potent biomarkers and therapeutic targets.

摘要

尽管人们努力揭示非酒精性脂肪性肝病(NAFLD)的发病机制,但仍需要获批的治疗方法和生物标志物。有趣的是,在NAFLD期间红细胞的特征会出现改变。磷脂酰胆碱与磷脂酰乙醇胺的比例、脂肪酸谱、红细胞计数和红细胞分布宽度反映了肝脏中正在发生的分子变化。此外,糖化血红蛋白、趋化因子的结合与释放以及磷脂酰丝氨酸的暴露都积极参与了NAFLD的发病过程。在这篇综述中,我们描述了NAFLD中被忽视的红细胞功能障碍,旨在揭示有效的生物标志物和治疗靶点。

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